Provider Demographics
NPI:1811558646
Name:DAVISON, SARAH LINDSAY
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LINDSAY
Last Name:DAVISON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 BAYVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:BAYPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11705-2110
Mailing Address - Country:US
Mailing Address - Phone:631-626-4745
Mailing Address - Fax:
Practice Address - Street 1:CUOMO FIRST STEP PRESCHOOL
Practice Address - Street 2:115-15 101ST AVENUE
Practice Address - City:SOUTH RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11419
Practice Address - Country:US
Practice Address - Phone:718-441-5333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-24
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist